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Ann Thorac Surg 1997;63:845-847
© 1997 The Society of Thoracic Surgeons

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Case Reports

Acute Right-Sided Heart Failure Due to Hemorrhage Into a Pericardial Cyst

Division of Pneumology, Medical Department I; Division of Thoracic Surgery, Department of Abdominal and Visceral Surgery; and Institute for Pathology, Medical School (Charité) of the Humboldt-University Berlin, Berlin, Germany

Accepted for publication October 15, 1996.

This is a description of a rare complication of a pericardial cyst with spontaneous internal hemorrhage and following tamponade. The noninvasive diagnosis was done by transesophageal echocardiography and computed thoracic tomography. The cyst was thoracoscopically removed and pathologically examined. This case demonstrates a rare but important and life-threatening complication of mostly asymptomatic pericardial cysts.

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